Organization
CARPENTER EAR AND HEARING SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAURENCE J. CARPENTER M.S. (AUDIOLOGIST)
(920) 469-3209
Entity
Organization
Contact information
Practice address
1808 ALLOUEZ AVE., SUITE D, GREEN BAY, WI 54311-6280
(920) 469-3209
Mailing address
1808 ALLOUEZ AVE, SUITE D, GREEN BAY, WI 54311-6280
(920) 469-3209
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
98-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41119000
—
WI
Enumeration date
09/19/2008
Last updated
09/19/2008
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